Provider Demographics
NPI:1083978100
Name:ABSOLUTE CARE HEALTH SYSTEMS, INC
Entity Type:Organization
Organization Name:ABSOLUTE CARE HEALTH SYSTEMS, INC
Other - Org Name:SHIELD HOME HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT AND ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ROGELIO
Authorized Official - Middle Name:LUCIANO
Authorized Official - Last Name:PINEDA
Authorized Official - Suffix:JR
Authorized Official - Credentials:PT, RPT
Authorized Official - Phone:636-675-0915
Mailing Address - Street 1:7940 SILVERTON AVE STE 202
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92126-6341
Mailing Address - Country:US
Mailing Address - Phone:636-675-0915
Mailing Address - Fax:
Practice Address - Street 1:7940 SILVERTON AVE STE 202
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92126-6341
Practice Address - Country:US
Practice Address - Phone:636-675-0915
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-03
Last Update Date:2021-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health